Engria Chester, CPC
Albany
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
5
5
years of professional experience
1
1
Certificate
Work History
Medical Center Representative
Phoebe Physicians Group
10.2023 - Current
- Improved patient satisfaction by providing efficient scheduling and timely appointment confirmations.
- Streamlined patient registration processes for a smoother check-in experience and reduced wait times.
- Enhanced patient communication by promptly addressing inquiries and concerns in a professional manner.
- Collaborated with medical staff to ensure accurate record-keeping, contributing to improved patient care.
- Managed high call volume efficiently, directing calls to appropriate departments and minimizing hold times for patients.
- Worked closely with medical center leadership to identify areas for process improvement, leading to enhanced patient experiences and overall facility performance.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Providing excellent customer service by promptly answering patient inquiries.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Obtained payments from patients and scanned identification and insurance cards.
Risk Adjustment Coder
CSI Companies
05.2023 - 10.2023
- Enhanced data accuracy by meticulously reviewing and validating medical records for risk adjustment coding.
- Streamlined workflow efficiency by collaborating with interdisciplinary teams, addressing documentation gaps and inaccuracies.
- Ensured compliance with CMS regulations and guidelines by staying up-to-date on industry standards and best practices.
- Improved revenue cycle management by accurately assigning HCC codes to maximize reimbursement potential.
- Reduced coding errors through rigorous attention to detail, thorough knowledge of ICD-10-CM guidelines, and continuous professional development.
- Contributed to ongoing process improvements within the department by identifying inefficiencies or inconsistencies in current workflows and suggesting practical solutions.
- Upheld high standards of ethical practice when dealing with sensitive patient information or navigating complex billing issues.
- Demonstrated flexibility and adaptability in response to changes in coding guidelines, software systems, or departmental priorities.
- Input data into computer programs and filing systems.
- Provided valuable insights into departmental decision-making by leveraging a deep understanding of risk adjustment coding principles, industry trends, and organizational goals.
- Maintained accuracy, completeness, and security for medical records and health information.
Medical Insurance Collector
PHOEBE Physicians Group,
12.2018 - 05.2023
- Improved claim resolution rates by diligently reviewing medical records and identifying errors in billing.
- Reduced claim denials through thorough research of insurance coverage, patient eligibility, and claim accuracy.
- Expedited payment collections with timely follow-ups on outstanding accounts, resulting in increased revenue for the organization.
- Maintained accurate documentation of all collection activities, ensuring compliance with industry regulations and internal policies.
- Enhanced department efficiency by implementing process improvements that streamlined workflows and reduced manual tasks.
- Provided exceptional customer service when addressing patient inquiries regarding billing issues or insurance coverage concerns.
- Established strong working relationships with insurance company representatives, facilitating efficient communication and prompt issue resolution.
- Supported the development of standardized procedures for handling common billing issues, improving departmental consistency and effectiveness.
- Coordinated closely with clinical staff to ensure proper coding was utilized on claims submissions, reducing denial rates due to coding errors.
- Proactively identified potential problems within the billing process by analyzing data trends and recommending solutions for improvement.
- Maintained a high level of professionalism when interacting with patients, insurance company representatives, and colleagues to foster positive working relationships.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Managed large volume of medical claims on daily basis.
- Researched and resolved complex medical claims issues to support timely processing.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Monitored and updated claims status in claims processing system.
- Followed up on denied claims to verify timely patient payment and resolution.
- Reviewed provider coding information to report services and verify correctness.
- Processed insurance payments and maintained accurate documentation of payments.
- Researched billing errors and discrepancies to initiate corrective action.
Education
CPC - Certified Professional Coder - Coding Certification
AAPC
Salt Lake City, UT12.2022
Business Healthcare Technology Diploma - Business Healthcare
Albany Technical College
Albany, GA05.2022
No Degree - Healthcare Office Assistant Certificate
Albany Technical College
Albany, Ga05.2022
No Degree - Billing And Healthcare Reimbursement Assistant
Albany Technical College
Albany, GA05.2022
Skills
- Data Entry Expertise
- Appointment Scheduling
- Insurance Verification
- Documentation Accuracy
- Medical Terminology Knowledge
- Critical thinking
- Conflict resolution
- Attention to detail
- Resourcefulness
- Customer service orientation
- Adaptability and flexibility
- Professional demeanor
- Interpersonal skills
- Telephone etiquette
- Stress management
- Ethical conduct
- Excellent communication
- Team collaboration
- Problem-solving abilities
- Medical billing understanding
- Active listening
- Time management
- Organizational skills
- Problem-Solving
- Multitasking and Organization
- Customer Service
- Patient Education
- Registration Management
- Fee Collection
- Medical Billing
- Phone and Email Etiquette
- Payment Processing
- Process Improvement
- Flexible Schedule
- Patient Registration
- Money Handling
- Eligibility Determination
- Medical Coding
- Patient Scheduling
- Office Management
Certification
Certified Professional Coder
Timeline
Medical Center Representative
Phoebe Physicians Group
10.2023 - Current
Risk Adjustment Coder
CSI Companies
05.2023 - 10.2023
Medical Insurance Collector
PHOEBE Physicians Group,
12.2018 - 05.2023
CPC - Certified Professional Coder - Coding Certification
AAPC
Business Healthcare Technology Diploma - Business Healthcare
Albany Technical College
No Degree - Healthcare Office Assistant Certificate
Albany Technical College
No Degree - Billing And Healthcare Reimbursement Assistant
Albany Technical College
Certified Professional Coder
References
References available upon request.
References
References available upon request.
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